The treatment of obesity in children and adolescents: consensus position statement of the Italian society of pediatric endocrinology and diabetology, Italian Society of Pediatrics and Italian Society of Pediatric Surgery.
Adolescents
Bariatric surgery
Children
Cognitive and family-based behavior therapy
Drug
Nutrition
Obesity
Physical activity
Treatment
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
08 Jun 2023
08 Jun 2023
Historique:
received:
21
02
2023
accepted:
18
04
2023
medline:
12
6
2023
pubmed:
9
6
2023
entrez:
8
6
2023
Statut:
epublish
Résumé
This Position Statement updates the different components of the therapy of obesity (lifestyle intervention, drugs, and surgery) in children and adolescents, previously reported in the consensus position statement on pediatric obesity of the Italian Society of Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Lifestyle intervention is the first step of treatment. In children older than 12 years, pharmacotherapy is the second step, and bariatric surgery is the third one, in selected cases. Novelties are available in the field of the medical treatment of obesity. In particular, new drugs demonstrated their efficacy and safety and have been approved in adolescents. Moreover, several randomized control trials with other drugs are in process and it is likely that some of them will become available in the future. The increase of the portfolio of treatment options for obesity in children and adolescents is promising for a more effective treatment of this disorder.
Identifiants
pubmed: 37291604
doi: 10.1186/s13052-023-01458-z
pii: 10.1186/s13052-023-01458-z
pmc: PMC10249209
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
69Informations de copyright
© 2023. The Author(s).
Références
Proc Nutr Soc. 2010 May;69(2):204-10
pubmed: 20158938
Health Educ Q. 1988 Summer;15(2):175-83
pubmed: 3378902
Appetite. 2022 Jan 1;168:105725
pubmed: 34619242
Nutrition. 2017 Jan;33:141-144
pubmed: 27461167
J Pediatr. 2021 Sep;236:137-147.e13
pubmed: 33984333
Diabetes. 2011 Feb;60(2):477-85
pubmed: 21228310
J Gen Intern Med. 2016 Jan;31(1):109-16
pubmed: 26138004
Lancet Diabetes Endocrinol. 2020 Dec;8(12):960-970
pubmed: 33137293
Minerva Pediatr. 2012 Aug;64(4):413-31
pubmed: 22728613
Obesity (Silver Spring). 2014 Jan;22(1):27-31
pubmed: 23983130
JAMA. 2017 Jun 20;317(23):2427-2444
pubmed: 28632873
Nutr J. 2015 Aug 25;14:87
pubmed: 26489667
Surg Obes Relat Dis. 2012 Jan-Feb;8(1):1-7
pubmed: 22030146
Obes Surg. 2018 Jul;28(7):2040-2045
pubmed: 29430596
Curr Obes Rep. 2021 Jun;10(2):61-69
pubmed: 33725324
Nutrients. 2021 Nov 20;13(11):
pubmed: 34836417
Obes Facts. 2012;5(1):34-44
pubmed: 22433615
Pediatrics. 2021 Mar;147(3):
pubmed: 33608415
Lancet Diabetes Endocrinol. 2017 Mar;5(3):174-183
pubmed: 28065734
J Sci Med Sport. 2018 Jan;21(1):89-102
pubmed: 28728887
Postgrad Med. 2018 Mar;130(2):173-182
pubmed: 29388462
N Engl J Med. 2022 Dec 15;387(24):2245-2257
pubmed: 36322838
Metabolism. 2016 Jul;65(7):945-53
pubmed: 27282865
Int J Obes (Lond). 2017 Jan;41(1):90-93
pubmed: 27773937
Front Endocrinol (Lausanne). 2020 May 13;11:290
pubmed: 32477270
J Pediatr Gastroenterol Nutr. 2012 Mar;54(3):336-42
pubmed: 22067112
Clin Ter. 2019 May-Jun;170(3):e223-e230
pubmed: 31173054
J Acad Nutr Diet. 2022 Apr;122(4):848-861
pubmed: 35063666
Pediatr Obes. 2020 Jul;15(7):e12624
pubmed: 32062862
Pediatr Obes. 2017 Jun;12(3):239-246
pubmed: 27071497
Gac Sanit. 2017 Nov - Dec;31(6):472-477
pubmed: 28410796
J Pediatr Gastroenterol Nutr. 2021 May 1;72(5):769-783
pubmed: 33720094
J Acad Nutr Diet. 2020 Jul;120(7):1172-1197
pubmed: 32444328
J Hum Nutr Diet. 2015 Jan;28 Suppl 1:52-64
pubmed: 25233843
Diabetes Care. 2014 Feb;37(2):317-24
pubmed: 24062325
Cochrane Database Syst Rev. 2019 Jul 23;7:CD001871
pubmed: 31332776
Lancet. 2019 May 11;393(10184):1958-1972
pubmed: 30954305
Gastrointest Endosc. 2021 May;93(5):1119-1120
pubmed: 33691979
Nutr Rev. 2014 Jul;72(7):453-70
pubmed: 24920422
Obes Rev. 2019 Jun;20(6):871-882
pubmed: 30734459
Pediatrics. 2005 Apr;115(4):e443-9
pubmed: 15805347
J Hum Nutr Diet. 2021 Feb;34(1):224-232
pubmed: 33170552
Acta Paediatr Suppl. 2006 Apr;450:76-85
pubmed: 16817681
Appl Physiol Nutr Metab. 2017 Jan;42(1):15-22
pubmed: 27923279
Ther Adv Endocrinol Metab. 2020 May 27;11:2042018820918789
pubmed: 32523671
J Consult Clin Psychol. 2000 Aug;68(4):717-21
pubmed: 10965646
Nutrients. 2018 Oct 13;10(10):
pubmed: 30322156
Obes Surg. 2015 Jan;25(1):19-26
pubmed: 25092167
Obes Rev. 2022 Jan;23 Suppl 1:e13381
pubmed: 34816577
Public Health. 2016 Jul;136:109-16
pubmed: 27184821
Cureus. 2021 Sep 18;13(9):e18080
pubmed: 34671541
Nat Rev Drug Discov. 2022 Mar;21(3):201-223
pubmed: 34815532
Paediatr Drugs. 2022 Nov;24(6):715-720
pubmed: 36059008
Obes Rev. 2008 Sep;9(5):474-88
pubmed: 18331423
J Clin Endocrinol Metab. 2017 Mar 01;102(3):709-757
pubmed: 28359099
Nat Rev Endocrinol. 2018 Jan;14(1):12-24
pubmed: 29027993
Int J Environ Res Public Health. 2020 Nov 25;17(23):
pubmed: 33255721
Clin Gastroenterol Hepatol. 2020 May;18(5):1070-1081.e5
pubmed: 31706057
J Pediatr Gastroenterol Nutr. 2015 Apr;60(4):550-61
pubmed: 25591123
JAMA. 2019 Nov 5;322(17):1707-1708
pubmed: 31566652
Br J Nutr. 2013 Dec;110(12):2250-9
pubmed: 23773316
Res Q Exerc Sport. 2014 Jun;85(2):174-87
pubmed: 25098013
BMC Pediatr. 2014 Jul 05;14:175
pubmed: 24997634
Curr Pediatr Rep. 2020 Jun;8(2):56-65
pubmed: 32632353
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2017 Dec 1;38(3):121-133
pubmed: 29668472
Obes Rev. 2014 Jul;15(7):598-609
pubmed: 24636238
Front Pediatr. 2020 Nov 05;8:535705
pubmed: 33224905
Obes Facts. 2016;9(1):52-63
pubmed: 26901423
Eur J Pediatr. 2018 Oct;177(10):1531-1539
pubmed: 30027297
Clin Pediatr (Phila). 2015 Jan;54(1):19-24
pubmed: 25027265
JAMA Pediatr. 2020 Jun 1;174(6):609-617
pubmed: 32202626
Front Endocrinol (Lausanne). 2020 Mar 24;11:157
pubmed: 32265846
Circulation. 2018 Mar 13;137(11):1103-1113
pubmed: 29483085
JAMA. 2005 Jun 15;293(23):2873-83
pubmed: 15956632
Int J Obes (Lond). 2014 Jun;38(6):784-93
pubmed: 23999198
Matern Child Nutr. 2017 Oct;13(4):
pubmed: 28211230
JAMA. 2013 Dec 11;310(22):2416-25
pubmed: 24189773
Arch Pediatr Adolesc Med. 2012 Dec;166(12):1103-8
pubmed: 23108856
BMC Public Health. 2017 Nov 20;17(Suppl 5):849
pubmed: 29219071
Cochrane Database Syst Rev. 2017 Jun 22;6:CD012651
pubmed: 28639319
Int J Obes Relat Metab Disord. 2004 Nov;28 Suppl 3:S21-8
pubmed: 15543215
Pediatrics. 2013 May;131(5):958-67
pubmed: 23569087
Arch Pediatr Adolesc Med. 2011 Aug;165(8):714-22
pubmed: 21464376
Surg Obes Relat Dis. 2015 Jan-Feb;11(1):101-9
pubmed: 25264327
Nat Rev Endocrinol. 2013 Oct;9(10):607-14
pubmed: 23897171
J Am Coll Surg. 2021 Dec;233(6):657-664
pubmed: 34563670
BMJ Open. 2019 Nov 11;9(11):e031220
pubmed: 31719081
J Pediatr Psychol. 2014 Oct;39(9):1001-12
pubmed: 25080605
J Pediatr. 2012 Aug;161(2):320-7.e1
pubmed: 22381024
Clin Obes. 2015 Jun;5(3):116-26
pubmed: 25974187
Scand J Med Sci Sports. 2019 Jan;29(1):16-24
pubmed: 30230064
Eat Weight Disord. 2017 Mar;22(1):3-12
pubmed: 27585923
Aggress Behav. 2013 Nov-Dec;39(6):453-61
pubmed: 23784933
Obes Rev. 2011 Jan;12(1):26-36
pubmed: 20070542
Obes Surg. 2015 May;25(5):860-78
pubmed: 25697125
Curr Opin Endocrinol Diabetes Obes. 2021 Feb 1;28(1):55-63
pubmed: 33186194
Children (Basel). 2018 Jul 06;5(7):
pubmed: 29986459
Bull World Health Organ. 2007 Sep;85(9):660-7
pubmed: 18026621
Appetite. 2019 Sep 1;140:213-222
pubmed: 31112737
Pediatrics. 2012 Dec;130(6):e1647-71
pubmed: 23166346
Obes Surg. 2014 Jan;24(1):42-55
pubmed: 24081459
Obes Rev. 2021 Jan;22(1):e13132
pubmed: 32896058
Arch Surg. 2011 Jul;146(7):802-7
pubmed: 21422330
Community Eye Health. 2006 Jun;19(58):31
pubmed: 17491730
JAMA Pediatr. 2018 May 1;172(5):452-460
pubmed: 29532078
Public Health Rep. 1985 Mar-Apr;100(2):126-31
pubmed: 3920711
Can Fam Physician. 2011 Feb;57(2):195-7
pubmed: 21642717
Nutrients. 2019 Jan 10;11(1):
pubmed: 30634657
Med Sci Sports Exerc. 1998 Jul;30(7):1130-6
pubmed: 9662684
J Obes Metab Syndr. 2021 Dec 30;30(4):326-335
pubmed: 34924365
Am Psychol. 1992 Sep;47(9):1102-14
pubmed: 1329589
Surg Clin North Am. 2021 Apr;101(2):199-212
pubmed: 33743964
Obesity (Silver Spring). 2022 May;30(5):1105-1115
pubmed: 35403350
N Engl J Med. 2020 May 28;382(22):2117-2128
pubmed: 32233338
N Engl J Med. 2016 Jan 14;374(2):113-23
pubmed: 26544725
Cochrane Database Syst Rev. 2017 Jun 22;6:CD012691
pubmed: 28639320
Pediatrics. 2019 Dec;144(6):
pubmed: 31656225
Endocr Rev. 2006 Dec;27(7):736-49
pubmed: 17077189
Br J Surg. 2014 May;101(6):661-8
pubmed: 24723019
J Clin Endocrinol Metab. 2015 Feb;100(2):342-62
pubmed: 25590212
Int J Environ Res Public Health. 2016 Jun 08;13(6):
pubmed: 27338427
J Sci Med Sport. 2019 Jan;22(1):76-84
pubmed: 30054135
J Pediatr Endocrinol Metab. 2012;25(1-2):41-9
pubmed: 22570949
Surg Obes Relat Dis. 2019 Sep;15(9):1494-1502
pubmed: 31371184
Circulation. 2013 Oct 8;128(15):1689-712
pubmed: 24016455
Diabetes Care. 2013 Jul;36(7):1933-40
pubmed: 23462665
Cochrane Database Syst Rev. 2016 Mar 10;3:CD012105
pubmed: 26961576
Sports Med. 2014 Sep;44(9):1209-23
pubmed: 24788950
J Hum Nutr Diet. 2021 Feb;34(1):147-177
pubmed: 33283363
Pediatr Obes. 2015 Feb;10(1):7-14
pubmed: 24347523
Obes Surg. 2021 Jul;31(7):2869-2877
pubmed: 33840011
Obesity (Silver Spring). 2011 Jan;19(1):134-41
pubmed: 20395948
Surg Endosc. 2020 Jun;34(6):2332-2358
pubmed: 32328827
Arch Pediatr Adolesc Med. 2012 Dec;166(12):1109-15
pubmed: 23108941
Drugs. 2021 Feb;81(3):397-403
pubmed: 33638809
Pediatr Obes. 2013 Oct;8(5):e59-63
pubmed: 23576420
Ital J Pediatr. 2022 Jan 15;48(1):9
pubmed: 35033162
Surg Obes Relat Dis. 2018 Jul;14(7):882-901
pubmed: 30077361
Clin Nutr ESPEN. 2021 Apr;42:173-179
pubmed: 33745574
Complement Ther Med. 2016 Oct;28:22-8
pubmed: 27670866
Matern Child Health J. 2017 Jan;21(1):136-146
pubmed: 27417826
Sports Med. 2019 Jan;49(1):83-94
pubmed: 30560421
World J Gastroenterol. 2015 Nov 7;21(41):11804-14
pubmed: 26557004
Diabetes Care. 2017 Nov;40(11):1580-1587
pubmed: 28939688
Surg Obes Relat Dis. 2017 Dec;13(12):2037-2055
pubmed: 29079384
Gac Sanit. 2019 Mar - Apr;33(2):197-202
pubmed: 29169902
JAMA. 2014 Sep 3;312(9):959-61
pubmed: 25182106
Sports Med. 2014 Aug;44(8):1139-52
pubmed: 24743931
J Pediatr Endocrinol Metab. 2012;25(1-2):33-40
pubmed: 22570948